Alinoor Mohamed Farah1, Tahir Yousuf Nour1, Bilal Shikur Endris2, Seifu Hagos Gebreyesus2. 1. Department of Public Health, College of Medicine and Health Sciences, Jigjiga University, Jigjiga, Ethiopia. 2. Department of Reproductive Health and Health Service Management, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Abstract
BACKGROUND: Nutrition transition in many low- and middle-income countries (LMICs) has led to shift in childhood nutritional outcomes from a predominance of undernutrition to a double burden of under- and overnutrition. Yet, policies that address undernutrition often times do not include overnutrition nor do policies on overweight, obesity reflect the challenges of undernutrition. It is therefore crucial to assess the prevalence and determinants of concurrence stunting and overweight/obesity to better inform nutrition programs in Ethiopia and beyond. METHODS: We analyzed anthropometric, sociodemographic and dietary data of children under five years of age from 2016 Ethiopian Demographic and Health Survey (EDHS). A total of 8,714 children were included in the current study. Concurrence of stunting and overweight/obesity (CSO) prevalence was estimated by basic, underlying and immediate factors. To identify factors associated with CSO, we conducted hierarchical logistic regression analyses. RESULTS: The overall prevalence of CSO was 1.99% (95% CI, 1.57-2.53). The odds of CSO was significantly higher in children in agrarian region compared to their counter parts in the pastoralist region (AOR = 1.51). Other significant factors included; not having improved toilet facility (AOR = 1.94), being younger than 12 months (AOR = 4.22), not having history of infection (AOR = 1.83) and not having taken deworming tablet within the previous six months (AOR = 1.49). CONCLUSION: Our study provided evidence on the co-existence of stunting and overweight/obesity among infants and young children in Ethiopia. Therefore, identifying children at risk of growth flattering and excess weight gain provides nutrition policies and programs in Ethiopia and beyond with an opportunity of earlier interventions through improving sanitation, dietary quality by targeting children under five years of age and those living in Agrarian regions of Ethiopia.
BACKGROUND: Nutrition transition in many low- and middle-income countries (LMICs) has led to shift in childhood nutritional outcomes from a predominance of undernutrition to a double burden of under- and overnutrition. Yet, policies that address undernutrition often times do not include overnutrition nor do policies on overweight, obesity reflect the challenges of undernutrition. It is therefore crucial to assess the prevalence and determinants of concurrence stunting and overweight/obesity to better inform nutrition programs in Ethiopia and beyond. METHODS: We analyzed anthropometric, sociodemographic and dietary data of children under five years of age from 2016 Ethiopian Demographic and Health Survey (EDHS). A total of 8,714 children were included in the current study. Concurrence of stunting and overweight/obesity (CSO) prevalence was estimated by basic, underlying and immediate factors. To identify factors associated with CSO, we conducted hierarchical logistic regression analyses. RESULTS: The overall prevalence of CSO was 1.99% (95% CI, 1.57-2.53). The odds of CSO was significantly higher in children in agrarian region compared to their counter parts in the pastoralist region (AOR = 1.51). Other significant factors included; not having improved toilet facility (AOR = 1.94), being younger than 12 months (AOR = 4.22), not having history of infection (AOR = 1.83) and not having taken deworming tablet within the previous six months (AOR = 1.49). CONCLUSION: Our study provided evidence on the co-existence of stunting and overweight/obesity among infants and young children in Ethiopia. Therefore, identifying children at risk of growth flattering and excess weight gain provides nutrition policies and programs in Ethiopia and beyond with an opportunity of earlier interventions through improving sanitation, dietary quality by targeting children under five years of age and those living in Agrarian regions of Ethiopia.
Authors: Parul Christian; Sun Eun Lee; Moira Donahue Angel; Linda S Adair; Shams E Arifeen; Per Ashorn; Fernando C Barros; Caroline H D Fall; Wafaie W Fawzi; Wei Hao; Gang Hu; Jean H Humphrey; Lieven Huybregts; Charu V Joglekar; Simon K Kariuki; Patrick Kolsteren; Ghattu V Krishnaveni; Enqing Liu; Reynaldo Martorell; David Osrin; Lars-Ake Persson; Usha Ramakrishnan; Linda Richter; Dominique Roberfroid; Ayesha Sania; Feiko O Ter Kuile; James Tielsch; Cesar G Victora; Chittaranjan S Yajnik; Hong Yan; Lingxia Zeng; Robert E Black Journal: Int J Epidemiol Date: 2013-08-06 Impact factor: 7.196
Authors: Perpetua Modjadji; Lucy Nomsa Masilela; Lindiwe Cele; Mmampedi Mathibe; Peter Modupi Mphekgwana Journal: Int J Environ Res Public Health Date: 2022-09-30 Impact factor: 4.614